Organization Active NPI

Front Range Dermatology Associates Pathology Lab

  • Dermatopathology Physician
  • Greeley, CO
National Provider Identifier
1386220606
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
FRONT RANGE DERMATOLOGY ASSOCIATES PATHOLOGY LAB
Practice address
6801 W 20TH St Unit 208
Greeley, CO 80634-9640
Phone
(970) 673-1155
Fax
(970) 673-4747
NPI assigned
Mar 18, 2021
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FRONT RANGE DERMATOLOGY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Aaron Hoover, MDNPI 1609883081
Title
Owner
Phone
(970) 673-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

6801 W 20TH St Unit 208
Greeley, CO 80634-9640

Mailing address

PO Box 69
Timnath, CO 80547-0069
Phone (970) 673-1155

National Provider Directory

National Provider Directory
Part of
Frda Apothecary

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1386220606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805470069",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 208",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE DERMATOLOGY ASSOCIATES PATHOLOGY LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT RANGE DERMATOLOGY ASSOCIATES",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-673-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.